<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">井号</label>
            <div class="layui-input-block">
                <input type="text" name="well_number" class="layui-input" lay-verify="required" placeholder="请输入井号" value="{$row.well_number|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">开工日期</label>
            <div class="layui-input-block">
                <input type="text" name="start_date" class="layui-input"  placeholder="请输入开工日期" value="{$row.start_date|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">完工日期</label>
            <div class="layui-input-block">
                <input type="text" name="end_date" class="layui-input"  placeholder="请输入完工日期" value="{$row.end_date|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">工作类别</label>
            <div class="layui-input-block">
                <input type="text" name="work_type" class="layui-input"  placeholder="请输入工作类别" value="{$row.work_type|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label required">文件</label>
            <div class="layui-input-block layuimini-upload">
                <input name="file" class="layui-input layui-col-xs6" lay-verify="required"  placeholder="请上传文件" value="{$row.file|default=''}">
                <div class="layuimini-upload-btn">
                    <span><a class="layui-btn" data-upload="file" data-upload-number="one" data-upload-exts="*" data-upload-icon="file"><i class="fa fa-upload"></i> 上传</a></span>
                    <span><a class="layui-btn layui-btn-normal" id="select_file" data-upload-select="file" data-upload-number="one" data-upload-mimetype="*"><i class="fa fa-list"></i> 选择</a></span>
                </div>
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>
    </form>
</div>